Individual
DR. MARYLA IZABELLA MADURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1841 HONEYSUCKLE RD, DOTHAN, AL 36305-4269
(334) 794-2113
(334) 702-1220
Mailing address
1841 HONEYSUCKLE RD, DOTHAN, AL 36305-4269
(334) 794-2113
(334) 702-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1422
AL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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